Stop Loss Underwriter III

BlueCross BlueShield of South Carolina•W@H Minnesota, MN

1d•Remote

About The Position

Underwrite a profitable book of business in the employer stop loss marketplace through Managed Care Organizations, (Third Party Administrators) TPAs, Brokers, Hospitals, and BlueCross BlueShield organizations and service all business to targeted profitability and service objectives. Utilizing effective risk selection techniques and maintaining financial discipline, secure optimum rates and terms for each policy while maintaining an appropriate loss ratio. Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Underwrite a profitable book of business in the employer stop loss marketplace through Managed Care Organizations, (Third Party Administrators) TPAs, Brokers, Hospitals, and BlueCross BlueShield organizations and service all business to targeted profitability and service objectives. Utilizing effective risk selection techniques and maintaining financial discipline, secure optimum rates and terms for each policy while maintaining an appropriate loss ratio. 25% Receive specific case proposal requests and review for completeness, reject when necessary and gather missing information. Underwrite cases including setting rates, aggregate factors, and coverage terms/conditions according to negotiated MGU agreements with insurers/reinsurers. Logistics: https://www.iisinet.com/ – one of BlueCross BlueShield of South Carolina’s subsidiary companies. Location: This is a full-time remote position. The typical work hours are Monday - Friday from 8:30am - 5pm EST. Sponsorship: This position is not eligible for sponsorship now or in the future. What You’ll Do: Design stop loss coverage and introduce services to best meet needs of client. Emphasize client relations in building up block of profitable business. Promote MGU services and benefits at every opportunity. Service existing book of business including, but not limited to, tracking TPA specific and aggregate loss ratio, tracking average renewal rate increases compared to average loss ratio, and determining TPAs’ level of involvement in developing their own managed care initiatives. Review amendments to plan documents to determine rate or coverage implications. Develop renewal terms for in-force cases which comply with company renewal standards and carrier/reinsurer guidelines and limits. Follow up on pending proposals and renewals to determine final outcome and reinforce interest in writing the business. Maintain open communication with management, marketing, sales, claims, and other appropriate areas. Assists less experience underwriters.

Requirements

Bachelor's Degree
4 years job related work experience or Associate's and 2 years job related work experience
5 years underwriting/marketing experience with managed care organizations, carriers, and managing underwriters, primarily in the employer stop loss market.
Strong analytical, decision-making, time management, and advanced math skills.
Excellent verbal and written communication and interpersonal skills.
Good judgment.
Advanced knowledge of group insurance, managed care, and direct medical claims products.
Ability to handle confidential or sensitive information with discretion.
Extensive knowledge of underwriting/risk principles and their application.
Standard office equipment.
Microsoft office suite.

Responsibilities

Receive specific case proposal requests and review for completeness, reject when necessary and gather missing information.
Underwrite cases including setting rates, aggregate factors, and coverage terms/conditions according to negotiated MGU agreements with insurers/reinsurers.
Design stop loss coverage and introduce services to best meet needs of client.
Emphasize client relations in building up block of profitable business.
Promote MGU services and benefits at every opportunity.
Service existing book of business including, but not limited to, tracking TPA specific and aggregate loss ratio, tracking average renewal rate increases compared to average loss ratio, and determining TPAs’ level of involvement in developing their own managed care initiatives.
Review amendments to plan documents to determine rate or coverage implications.
Develop renewal terms for in-force cases which comply with company renewal standards and carrier/reinsurer guidelines and limits.
Follow up on pending proposals and renewals to determine final outcome and reinforce interest in writing the business.
Maintain open communication with management, marketing, sales, claims, and other appropriate areas.
Assists less experience underwriters.